Cortesi Flavia, Giannotti Flavia, Sebastiani Teresa, Bruni Oliviero, Ottaviano Salvatore
Center of Pediatric Sleep Disorders, Department of Developmental Neurology and Psychiatry, University of Rome La Sapienza, Rome, Italy.
J Adolesc Health. 2004 Apr;34(4):344-51. doi: 10.1016/j.jadohealth.2003.07.003.
To evaluate knowledge about sleep and the effect of a sleep educational program on a group of Italian adolescents.
The program consisted of a 2-hour interactive sleep educational course. To assess students' sleep patterns and habits, the School Sleep Habits Survey was completed by 540 students, aged 17 to 19 years, who were attending three secondary public schools. Students were randomly assigned to the control and intervention group. Only the latter participated in the educational program. A pre-test evaluated baseline knowledge about sleep, a post-test measured the gain in knowledge after the course, and a 3-month follow-up test evaluated long-term retention of information. Improvement in knowledge was measured by increase in correct answers and comparisons of means between baseline and follow-up mean scores. Control group completed only baseline and 3-month follow-up tests. Data were analyzed using repeated measures analysis of variance, Cochran Q, and McNemar tests.
Paired data were available for 425 students. Results showed unhealthy sleeping habits in 34% of students associated with high level of subjective sleepiness, increased vulnerability to injuries, and poor daytime functioning. Pre-test score showed a value of 4.2, post-test of 8.6 and 3-month follow-up of 6.7. Low baseline knowledge about sleep, an increase in knowledge, with an average of 50% gain in the percentage of correct answers immediately after the course, with a good long-term retention of information were found for the students who received the intervention as compared with control group.
Sleep educational programs for secondary students are recommended to improve information about sleep.
评估意大利青少年群体对睡眠的认知以及睡眠教育项目的效果。
该项目包括一个时长2小时的互动式睡眠教育课程。为评估学生的睡眠模式和习惯，540名年龄在17至19岁、就读于三所公立中学的学生完成了学校睡眠习惯调查。学生被随机分为对照组和干预组。只有干预组参与了教育项目。一项预测试评估了关于睡眠的基线知识，一项后测试测量了课程结束后的知识增益，一项为期3个月的随访测试评估了信息的长期留存情况。知识的改善通过正确答案数量的增加以及基线和随访平均分数之间的均值比较来衡量。对照组仅完成了基线测试和3个月的随访测试。数据采用重复测量方差分析、 Cochr an Q检验和McNemar检验进行分析。
425名学生有配对数据。结果显示，34%的学生存在不健康的睡眠习惯，伴有高度的主观困倦感、受伤易感性增加和白天功能不佳。预测试分数为4.2，后测试分数为8.6，3个月随访分数为6.7。与对照组相比，接受干预的学生睡眠基线知识较低，知识有所增加，课程结束后正确答案百分比平均提高了50%，且信息长期留存良好。
建议为中学生开展睡眠教育项目以改善睡眠相关信息。
